Analysis of early and late maternal complications associated with delivery using propensity score
Autor(a) principal: | |
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Data de Publicação: | 2021 |
Outros Autores: | , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Revista brasileira de epidemiologia (Online) |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1415-790X2021000100422 |
Resumo: | ABSTRACT: Objective: To analyze early and late maternal complications associated with the mode of delivery in a birth cohort in Brazil, using the propensity score technique for analysis. Methods: This is a prospective cohort study, using data from the Pelotas Birth Cohort, RS, 2004. A total of 4,189 women were included and a descriptive analysis of the data and subsequent calculation of the propensity and pairing score of vaginal delivery women and cesarean delivery women with similar scores (1,366 pairs). We then assessed the difference in outcome risk between the groups. Results: Women in the cesarean group had 2.9 percentage points (pp) more risk of postpartum infection, 1.13 p.p. more risk of urinary infection, 1.10 p.p. more risk of anesthetic complications and 1.24 p.p. higher risk of headache compared to vaginal delivery, but less risk of anemia (-2.43 pp) and hemorrhoids (-1.24 p.p.). The use of propensity scores is extremely useful for reducing bias and increasing accuracy in observational studies when experimental studies cannot be performed. Conclusion: Cesarean sections have been associated with a higher prevalence of postpartum and urinary tract infections, anesthetic complications and headache and lower prevalence of anemia and hemorrhoids, so they should be performed with clear indications and when their benefits outweigh potential risks. |
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Analysis of early and late maternal complications associated with delivery using propensity scoreCesarean sectionNatural childbirthPuerperal disordersEpidemiologyABSTRACT: Objective: To analyze early and late maternal complications associated with the mode of delivery in a birth cohort in Brazil, using the propensity score technique for analysis. Methods: This is a prospective cohort study, using data from the Pelotas Birth Cohort, RS, 2004. A total of 4,189 women were included and a descriptive analysis of the data and subsequent calculation of the propensity and pairing score of vaginal delivery women and cesarean delivery women with similar scores (1,366 pairs). We then assessed the difference in outcome risk between the groups. Results: Women in the cesarean group had 2.9 percentage points (pp) more risk of postpartum infection, 1.13 p.p. more risk of urinary infection, 1.10 p.p. more risk of anesthetic complications and 1.24 p.p. higher risk of headache compared to vaginal delivery, but less risk of anemia (-2.43 pp) and hemorrhoids (-1.24 p.p.). The use of propensity scores is extremely useful for reducing bias and increasing accuracy in observational studies when experimental studies cannot be performed. Conclusion: Cesarean sections have been associated with a higher prevalence of postpartum and urinary tract infections, anesthetic complications and headache and lower prevalence of anemia and hemorrhoids, so they should be performed with clear indications and when their benefits outweigh potential risks.Associação Brasileira de Saúde Coletiva2021-01-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S1415-790X2021000100422Revista Brasileira de Epidemiologia v.24 2021reponame:Revista brasileira de epidemiologia (Online)instname:Associação Brasileira de Saúde Coletiva (ABRASCO)instacron:ABRASCO10.1590/1980-549720210027info:eu-repo/semantics/openAccessMascarello,Keila CristinaMatijasevich,AliciaBarros,Aluisio Jardim Dornellas deBarros,Fernando Celso Lopes Fernandes deSantos,Iná da Silva dosLabrecque,Jeremy AlexanderSilveira,Mariângela Freitaseng2021-05-24T00:00:00Zoai:scielo:S1415-790X2021000100422Revistahttp://www.scielo.br/rbepidhttps://old.scielo.br/oai/scielo-oai.php||revbrepi@usp.br1980-54971415-790Xopendoar:2021-05-24T00:00Revista brasileira de epidemiologia (Online) - Associação Brasileira de Saúde Coletiva (ABRASCO)false |
dc.title.none.fl_str_mv |
Analysis of early and late maternal complications associated with delivery using propensity score |
title |
Analysis of early and late maternal complications associated with delivery using propensity score |
spellingShingle |
Analysis of early and late maternal complications associated with delivery using propensity score Mascarello,Keila Cristina Cesarean section Natural childbirth Puerperal disorders Epidemiology |
title_short |
Analysis of early and late maternal complications associated with delivery using propensity score |
title_full |
Analysis of early and late maternal complications associated with delivery using propensity score |
title_fullStr |
Analysis of early and late maternal complications associated with delivery using propensity score |
title_full_unstemmed |
Analysis of early and late maternal complications associated with delivery using propensity score |
title_sort |
Analysis of early and late maternal complications associated with delivery using propensity score |
author |
Mascarello,Keila Cristina |
author_facet |
Mascarello,Keila Cristina Matijasevich,Alicia Barros,Aluisio Jardim Dornellas de Barros,Fernando Celso Lopes Fernandes de Santos,Iná da Silva dos Labrecque,Jeremy Alexander Silveira,Mariângela Freitas |
author_role |
author |
author2 |
Matijasevich,Alicia Barros,Aluisio Jardim Dornellas de Barros,Fernando Celso Lopes Fernandes de Santos,Iná da Silva dos Labrecque,Jeremy Alexander Silveira,Mariângela Freitas |
author2_role |
author author author author author author |
dc.contributor.author.fl_str_mv |
Mascarello,Keila Cristina Matijasevich,Alicia Barros,Aluisio Jardim Dornellas de Barros,Fernando Celso Lopes Fernandes de Santos,Iná da Silva dos Labrecque,Jeremy Alexander Silveira,Mariângela Freitas |
dc.subject.por.fl_str_mv |
Cesarean section Natural childbirth Puerperal disorders Epidemiology |
topic |
Cesarean section Natural childbirth Puerperal disorders Epidemiology |
description |
ABSTRACT: Objective: To analyze early and late maternal complications associated with the mode of delivery in a birth cohort in Brazil, using the propensity score technique for analysis. Methods: This is a prospective cohort study, using data from the Pelotas Birth Cohort, RS, 2004. A total of 4,189 women were included and a descriptive analysis of the data and subsequent calculation of the propensity and pairing score of vaginal delivery women and cesarean delivery women with similar scores (1,366 pairs). We then assessed the difference in outcome risk between the groups. Results: Women in the cesarean group had 2.9 percentage points (pp) more risk of postpartum infection, 1.13 p.p. more risk of urinary infection, 1.10 p.p. more risk of anesthetic complications and 1.24 p.p. higher risk of headache compared to vaginal delivery, but less risk of anemia (-2.43 pp) and hemorrhoids (-1.24 p.p.). The use of propensity scores is extremely useful for reducing bias and increasing accuracy in observational studies when experimental studies cannot be performed. Conclusion: Cesarean sections have been associated with a higher prevalence of postpartum and urinary tract infections, anesthetic complications and headache and lower prevalence of anemia and hemorrhoids, so they should be performed with clear indications and when their benefits outweigh potential risks. |
publishDate |
2021 |
dc.date.none.fl_str_mv |
2021-01-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1415-790X2021000100422 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1415-790X2021000100422 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1590/1980-549720210027 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Associação Brasileira de Saúde Coletiva |
publisher.none.fl_str_mv |
Associação Brasileira de Saúde Coletiva |
dc.source.none.fl_str_mv |
Revista Brasileira de Epidemiologia v.24 2021 reponame:Revista brasileira de epidemiologia (Online) instname:Associação Brasileira de Saúde Coletiva (ABRASCO) instacron:ABRASCO |
instname_str |
Associação Brasileira de Saúde Coletiva (ABRASCO) |
instacron_str |
ABRASCO |
institution |
ABRASCO |
reponame_str |
Revista brasileira de epidemiologia (Online) |
collection |
Revista brasileira de epidemiologia (Online) |
repository.name.fl_str_mv |
Revista brasileira de epidemiologia (Online) - Associação Brasileira de Saúde Coletiva (ABRASCO) |
repository.mail.fl_str_mv |
||revbrepi@usp.br |
_version_ |
1754212956799762432 |